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ACZ Laboratories, Inc. <br /> ' 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 MEN <br /> Golder Associates ACZ Project ID: L52434 <br /> ' 19121576 Date Received: 06/13/2019 12:13 <br /> Received By: <br /> Date Printed: 6/14/2019 <br /> YES NO NA <br /> Y 3 <br /> � .] ,pr- eyi, ...f. 7;,a, s...•._.:3+k�^.,fib.'� � �y.`r` ..;. •. <br /> 1)Is a foreign soil permit included for applicable samples? X <br /> ' 2) Is the Chain of Custody form or other directive shipping papers present? X <br /> 3) Does this project require special handling procedures such as CLP protocol? X <br /> ' 4)Are any samples NRC licensable material? X <br /> 5) If samples are received past hold time, proceed with requested short hold time analyses? X <br /> 6) Is the Chain of Custody form complete and accurate? X <br /> ' 7)Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? X <br /> YES NO NA <br /> 8)Are all containers intact and with no leaks? X <br /> ' 9)Are all labels on containers and are they intact and legible? X <br /> 10) Do the sample labels and Chain of Custody form match for Sample ID, Date, and Time? X <br /> ' 11) For preserved bottle types,was the pH checked and within limits? 1 X <br /> 12) Is there sufficient sample volume to perform all requested work? X AM <br /> 13) Is the custody seal intact on all containers? I X <br /> 14)Are samples that require zero headspace acceptable? X <br /> 15)Are all sample containers appropriate for analytical requirements? X <br /> ' 16) Is there an Hg-1631 trip blank present? F X <br /> 17) Is there a VOA trip blank present? X <br /> 18)Were all samples received within hold time? X <br /> NA indicates Not Applicable <br /> :, :. . ...: - WIN <br /> ' Cooler Id Temp(°C) Temp Rad(uR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> --------- -------- ------------ ---------- ------------ <br /> ' 6023 0.1 <=6.0 14 Yes <br /> Was ice present in the shipment container(s)? <br /> Yes - Wet ice was present in the shipment container(s) . <br /> ' Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br /> outside of their thermal preservation acceptance criteria. <br /> REPAD LPII 2012-03 <br /> ' L52434-1908281443 Page 50 of 55 <br />